Player Name *

First Name

Last Name

Phone *

(###)

###

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Date of Birth *

MM

DD

YYYY

Emergency Contact Name *

First Name

Last Name

Emergency Contact # *

(###)

###

####

Check YES to accept waiver. *

I hereby authorize my daughter to participate in the TRANSWAY BASKETBALL CAMP. I authorize the program organizers to act for me in their best judgement in any emergency requiring medical attention. I hereby agree to save harmless the TRANSWAY BASKETBALL CAMP, it’s organizers, sponsors, agents, officials and representatives from all liability however caused in connection with taking part in the TRANSWAY BASKETBALL CAMP. Please note your daughter may be featured on our social media accounts while participating in camp.

YES

NO